| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,280 |
9,115 |
$927K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,317 |
1,309 |
$133K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,182 |
1,176 |
$121K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,076 |
1,046 |
$100K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
870 |
870 |
$96K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,597 |
3,455 |
$88K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,910 |
1,751 |
$85K |
| 97802 |
|
4,092 |
4,025 |
$79K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
755 |
649 |
$74K |
| 92588 |
|
1,121 |
1,094 |
$52K |
| 92550 |
|
1,745 |
1,737 |
$33K |
| 92552 |
|
786 |
786 |
$30K |
| 99050 |
|
3,214 |
2,860 |
$29K |
| 99051 |
|
3,432 |
3,089 |
$19K |
| 99188 |
|
1,687 |
1,672 |
$19K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
164 |
164 |
$19K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,051 |
2,770 |
$18K |
| 92551 |
|
1,391 |
1,391 |
$18K |
| 87428 |
|
609 |
591 |
$16K |
| 99441 |
|
337 |
332 |
$15K |
| 87070 |
|
2,726 |
2,487 |
$13K |
| 99401 |
|
1,986 |
1,856 |
$12K |
| 87184 |
|
2,751 |
2,505 |
$11K |
| 90677 |
|
77 |
77 |
$10K |
| 99402 |
|
217 |
215 |
$9K |
| 99406 |
|
1,152 |
1,151 |
$8K |
| 99424 |
|
190 |
187 |
$8K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
587 |
564 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
842 |
337 |
$8K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
1,507 |
1,231 |
$7K |
| 98960 |
|
234 |
208 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
228 |
210 |
$4K |
| 99173 |
|
3,247 |
3,215 |
$4K |
| 99442 |
|
47 |
47 |
$3K |
| 17110 |
|
14 |
14 |
$2K |
| 99177 |
|
317 |
317 |
$1K |
| 86328 |
|
34 |
34 |
$689.62 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
147 |
122 |
$474.24 |
| 90686 |
|
290 |
223 |
$363.11 |
| 83655 |
|
39 |
39 |
$248.98 |
| 96160 |
|
97 |
95 |
$246.80 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$175.65 |
| 85018 |
|
118 |
118 |
$147.65 |
| A4206 |
Syringe with needle, sterile, 1 cc or less, each |
1,264 |
1,147 |
$65.00 |
| 96127 |
|
17 |
17 |
$61.10 |
| 36415 |
Collection of venous blood by venipuncture |
47 |
47 |
$55.35 |
| 90461 |
|
94 |
85 |
$30.58 |
| 90672 |
|
14 |
14 |
$27.54 |
| 90656 |
|
13 |
13 |
$23.53 |
| 99429 |
|
93 |
93 |
$18.75 |
| 3008F |
|
1,829 |
1,691 |
$0.00 |
| 1000F |
|
401 |
400 |
$0.00 |
| 90619 |
|
66 |
66 |
$0.00 |
| 36416 |
|
181 |
179 |
$0.00 |
| 4293F |
|
323 |
323 |
$0.00 |
| 99072 |
|
8,499 |
6,802 |
$0.00 |
| 3725F |
|
327 |
327 |
$0.00 |
| 3016F |
|
323 |
323 |
$0.00 |
| 90670 |
|
28 |
24 |
$0.00 |
| 90685 |
|
12 |
12 |
$0.00 |